THE COMPARATIVE ANALYSIS OF THE APPLICATION OF CALCIUM HYDROXIDE AND BIODENTINETM AT TREATMENT OF DEEP CARIES OF TEMPORARY TEETH
Keywords:
children, temporary teeth, deep caries, calcium hydroxide, Biodentine ™ (Septodont)Abstract
The aim of the work is the study of the comparative clinical effectiveness of the application of the material on the basis of calcium hydroxide, having shown a good advantage in pediatric dentistry, and the innovative material Biodentine™ (Septodont), the experience of use of which is not great in the treatment of deep caries of temporary teeth with low-invasive method. The data, obtained at the examination and treatment of 48 somatically healthy children of 4-5 years old with the compensated form of caries, have become the basis for the clinical analysis. Two groups of patients, 24 children in each one, were formed. 65 teeth were treated (33 ones in the first group and 32 – in the second one). The disrupted enamel was removed with spherical dental drill and enamel knife to open carious cavity widely. The softened dentine was elim-inated with hand excavator, some light softened dentine was left at the bottom of carious cavity and the defective den-tine was considered as the wound surface of dental pulp. The paste from calcium hydroxide and temporary filling of glassionomer cement were put at cavity bottom of the patients from the first group, in the patients from the second group the whole cavity was filled with Biodentine™. The next visit was to occur in 3 weeks. The findings have shown good therapeutic effect in the first and the second groups. As clinically and roentgenologically revealed, in the patients from the first group the carious process was cut off in 26 cases from 33 treated teeth, in 28 cases – in the second group. So the effectiveness of treatment in the first group made 78%, in the second one – 87%. In children from the second group there were also found fewer fillings with damaged marginal attachment: 3 cases among 32 treated teeth. While in the patients from the first group filling fallout and its crippling were noticed in 7 cases from 33 ones. To summarize the findings of the clinical observations it is possible to draw the conclusion, that the application of the material Biodentine in teeth of temporary occlusion is the most effective and long-term at treatment of deep caries and preserva-tion of pulp viability.
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